Continuous hyperfractionated accelerated radiotherapy with/without mitomycin C in head and neck cancer

PURPOSE: To evaluate the effect of mitomycin C to an accelerated hyperfractionated radiation therapy. The aim was to test a very short schedule with/without mitomycin C (MMC) with conventional fractionation in histologically verified squamous cell carcinoma of the head and neck region. METHODS AND MATERIALS: From October 1990 to December 1996, 188 patients entered the trial. Tumors originated in the oral cavity in 54, oropharynx in 82, larynx in 20, and hypopharynx in 32 cases, respectively. Patients' stages were predominantly T3 and T4 (158/188, 84%) and most patients had lymph node metastases (144/188, 77%) at diagnosis. Only 22 patients were female, 166 were male, the median age of patients was 57 years (range 34 to 76 years). Patients were randomized to one of the following three treatment options: conventional fractionation (CF) consisting of 70 Gy in 35 fractions over 7 weeks (65 patients) or continuous hyperfractionated accelerated radiation therapy (V-CHART; 62 patients) or continuous hyperfractionated accelerated radiation therapy with 20 mg/sqm MMC on day 5 (V-CHART + MMC; 61 patients). By the accelerated regimens, the total dose of 55.3 Gy was delivered within 17 consecutive days, by 33 fractions. On day 1, a single dose of 2.5 Gy was given, from day 2 to 17 a dose of 1.65 Gy was delivered twice: the interfraction interval was 6 hours or more. RESULTS: Mucositis was very intense after accelerated therapy, most patients experiencing a grade III/IV reaction. The mucosal reaction did not differ whether MMC was administered or not. Patients treated by accelerated fractionation experienced a confluent mucosal reaction 12-14 days following start of therapy and recovered (no reaction) within 6 weeks. The skin reaction was not considered different in the three treatment groups. Those patients treated with additional chemotherapy experienced a grade III/IV hematologic toxicity in 12/61 patients. Initial complete response (CR) was recorded in 43% following CF, 58% after V-CHART, and 67% after V-CHART + MMC, respectively (p < 0.05). Actuarial survival (Kaplan-Meier) was significantly improved in the combined treated patients. Local tumor control was 28%, 32%, and 56% following CF, V-CHART, and V-CHART + MMC, respectively (p < 0.05). CONCLUSION: We conclude that our continuous hyperfractionated accelerated radiation therapy regimen is equal to conventional fractionation, suggesting that by shortening the overall treatment time from 7 weeks to 17 days a reduction in dose from 70 Gy to 55.3 Gy is possible, with maintenance of local tumor control rates. The administration of MMC to the accelerated regimen is tolerable and improves the outcome for patients significantly.     

Accelerating entry into supported employment for persons with severe psychiatric disabilities.

Tested the hypothesis that Ss with severe mental illnesses would achieve better vocational outcomes with an accelerated approach to supported employment (AASE), as compared to gradual approaches (GA) with prevocational training. 86 Ss (mean age 35.1 yrs) with a diagnosis of a serious mental illness, were randomly assigned to either the AASE, or the GA, which included a minimum of 4 mo prevocational training. Data were obtained on indicators of vocational outcomes over 2 yrs, and for a limited number of Ss (n=36), during the 4th yr of inception into the program. Initially, only 5% of Ss preferred prevocational training. After 1 yr, AASE Ss showed better outcomes for a range of indicators, including achievement of competitive employment, duration of employment and mean earnings. During the 4th yr, 59% of these Ss were competitively employed, as compared to only 6% of GA Ss. Rehabilitation is more effective using AASE than GA. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The catalytic core of RNase P

A deletion mutant of the catalytic RNA component of Escherichia coli RNase P missing residues 87-241 retains the ability to interact with the protein component to form a functional catalyst. The deletion of this phylogenetically conserved region significantly increases the Km, indicating that the deleted structures may be important for binding to the precursor tRNA substrate but not for the cleavage reaction. Under some reaction conditions, this RNase P deletion mutant can become a relatively non-specific nuclease, indicating that this RNA's catalytic center may be more exposed. The catalytic core of the RNase P is formed by less than one third of the 377 residues of the RNase P RNA.     

Immunohistochemical demonstration of 3,2''-dimethyl-4-aminobiphenyl DNA adduct formation in various organs of Syrian golden hamsters

We attempted to purify endogenous growth factors of chick embryonal retinal pigment epithelial cells from bovine neural retina. Ammonium sulfate precipitation, gel filtration, and anion exchange column chromatography were used. Though only partially purification, bovine retinal extract had two effects, growth and transformation, on chick embryonal pigment epithelial cells. We think that these purified factors may be novel from the estimation of their molecular weight by gel filtration.     

Damage and the nonlinear viscoelastic response of glassy polycarbonate and LaRC-TPI

In the bulk, the nonlinear viscoelastic response of glassy polymers is due to the irreversible work done on the body by the surroundings. The source of the irreversibility is plastic flow of material near distributed shear bands or microcracks in the polymer. Shear bands and microcracks also form new traction free boundaries in the body. The presence of these new boundaries diminish the load bearing capacity of the polymer. These changes in polymer lattice structure are a mechanism that promotes the release of stored strain energy. If the release of stored strain energy is stress controlled, then at sufficiently high levels of stress to cause a permanent structural arrangement of the polymer chains, polycarbonate and LaRC-TPI behave as nonlinear viscoelastic materials. If the current stress is less than the maximum stress the polymer has experienced, then the current energy release rate for the propagation of shear bands, crazes, etc., is less than the critical energy release rate. In this instance, damage production is a constant and the material can be modeled using linear viscoelasticity. It will be shown that the stress-induced nonlinear shift factors are a measure of the rate of damage production in glassy polycarbonate.     

Electromagnetic precursor of rock collapse

Polytechnic Institute, Tomsk. Translated from Fiziko-Tekhnicheskie Problemy Razrabotki Poleznykh Iskopaemykh, No. 2, pp. 6–11, March–April, 1993.     

Stick-slip vibrations of a two degree-of-freedom geophysical fault model

This paper considers the behaviour of a two degree-of-freedom autonomous system with static and dynamic friction consisting of two blocks linked by springs on a moving belt. This system is the simplest model which has been used to simulate the dynamics of seismic faults. The friction force is assumed to be a decreasing function of the relative sliding velocity. The motion of the blocks is composed of a uniform stick motion, during which the divergence of the system is zero, and an accelerated slip motion, during which the divergence is positive. The mathematical model by definition concentrates the dissipation on the point where the slip motion ceases. It is assumed that slip occurs only in one direction. A three-dimensional Poincaré map and a scalar single variable map are discussed which characterize the dynamics of the system in a simple way. The one-dimensional map can be used to diagnose the chaotic behaviour of the full system, and quantities, similar to Lyapunov exponents, can be easily calculated which provide information regarding the system-sensitive dependence on initial conditions. The system dynamics illustrate the idea of studying the earthquake generation mechanism as a chaotic phenomenon.